Role of psychosocial work factors in the relation between becoming a caregiver and changes in health behaviour: results from the Whitehall II cohort study.
Role of psychosocial work factors in the relation between becoming a caregiver and changes in health behaviour: results from the Whitehall II cohort study.
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DOI：
10.1136/jech-2015-206463
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发表时间：
2016-12
影响因子：
6.3
通讯作者：
Hulvej Rod N
中科院分区：
文献类型：
--
作者：
Dich N;Head J;Hulvej Rod N
本研究测试了成为照顾者与恶劣工作条件相结合对健康行为变化的影响。参与者是白厅II队列研究中5419名英国公务员，他们在基线(第三阶段，1991-1994)时不是照顾者。在基线时评估心理社会工作因素。第四阶段问卷(1995-1996年)被用来确定参与者成为老年或残疾亲属的照顾者。在基线和随访(阶段5,1997-1999)中评估吸烟、饮酒和锻炼情况。那些成为照顾者的人更有可能增加饮酒频率，但前提是他们报告的工作决策自由度较低(与平均决策自由度的非照顾者相比，OR=1.65，95%CI为1.15~2.37)，或属于低职业社会阶层(OR=2.38，95%CI为1.17~4.78，与非职业社会阶层的非照顾者相比)。工作要求低(OR=2.92；与工作要求低的非照顾者相比，95%CI为1.07~7.92)或工作中的社会支持高(OR=2.99，95%CI为1.01~8.86，与一般社会支持的照顾者相比)，照顾者更容易戒烟。无论工作条件如何，照顾对减少每周低于推荐小时数的锻炼，或减少每周超过推荐单位数的饮酒没有任何影响。这些发现强调了平衡的工作环境作为面对家庭需求增加的人的资源的重要性。
The present study tested the effects of becoming a caregiver combined with adverse working conditions on changes in health behaviours. Participants were 5419 British civil servants from the Whitehall II cohort study who were not caregivers at baseline (phase 3, 1991–1994). Psychosocial work factors were assessed at baseline. Phase 4 questionnaire (1995–1996) was used to identify participants who became caregivers to an aged or disabled relative. Smoking, alcohol consumption and exercise were assessed at baseline and follow-up (phase 5, 1997–1999). Those who became caregivers were more likely to increase frequency of alcohol consumption, but only if they also reported low decision latitude at work (OR= 1.65, 95% CI 1.15 to 2.37 compared with non-caregivers with average decision latitude), or belonged to low occupational social class (OR=2.38, 95% CI 1.17 to 4.78 compared with non-caregivers of high occupational social class). Caregivers were more likely to quit smoking if job demands were low (OR=2.92; 95% CI 1.07 to 7.92 compared with non-caregivers with low job demands), or if social support at work was high (OR=2.99, 95% CI 1.01 to 8.86 compared with caregivers with average social support). There was no effect of caregiving on reducing exercise below recommended number of hours per week, or on drinking above recommended number of units per week, regardless of working conditions. The findings underscore the importance of a well-balanced work environment as a resource for people exposed to increased family demands.
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影响因子：
12.7
作者：
Heikkila, Katriina;Fransson, Eleonor I.;Kivimaki, Mika
通讯作者：
Kivimaki, Mika
影响因子：
3.7
作者：
Heikkilä K;Nyberg ST;Fransson EI;Alfredsson L;De Bacquer D;Bjorner JB;Bonenfant S;Borritz M;Burr H;Clays E;Casini A;Dragano N;Erbel R;Geuskens GA;Goldberg M;Hooftman WE;Houtman IL;Joensuu M;Jöckel KH;Kittel F;Knutsson A;Koskenvuo M;Koskinen A;Kouvonen A;Leineweber C;Lunau T;Madsen IE;Magnusson Hanson LL;Marmot MG;Nielsen ML;Nordin M;Pentti J;Salo P;Rugulies R;Steptoe A;Siegrist J;Suominen S;Vahtera J;Virtanen M;Väänänen A;Westerholm P;Westerlund H;Zins M;Theorell T;Hamer M;Ferrie JE;Singh-Manoux A;Batty GD;Kivimäki M;IPD-Work Consortium
通讯作者：
IPD-Work Consortium
影响因子：
4.7
作者：
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通讯作者：
Davies, GJ
影响因子：
12.7
作者：
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通讯作者：
Carey MP
影响因子：
3.2
作者：
Bratberg, E;Dahl, SÅ;Risa, AE
通讯作者：
Risa, AE